Practice Nurse with Chronic Disease Management Experience – Newhall Surgery

Job Title

Practice Nurse with Chronic Disease Management Experience

Accountable to

Practice Manager – Administratively

Lead GP – Clinically

Hours per week

30 – 37 hours (Flexible over 5 days)

Rate of pay

Depending On Experience

Job Summary

To provide high quality nursing services including Chronic Disease Management (such as: Asthma, COPD, Diabetes), Learning Disabilities reviews, Long Term Condition reviews, NHS Health Checks, ECGs, blood pressures, bloods, foot checks, urine analysis, spirometry, ear syringing, cervical cytology, wound care and minor injuries management, general health and lifestyle advice, vaccinations, injections and immunisations.

To be actively involved in health promotion to the Practice population in collaboration with the Primary Health Care Team, meeting the needs of the patients and supporting the delivery of the Practice Policies & Procedures.  The post holder will work within their professional competence in accordance with the NMC Code of Professional Conduct and Scope of Professional Practice.

To work under indirect supervision and perform tasks prescribed and delegated by the GP Partners, Practice Manager and Nurses working to PSDs, PGDs, agreed protocols, within an evidence base and within defined competencies to meet the needs of patients.

To liaise with the Practice Pharmacy Team, Community Staff, Practice Nursing Team plus other healthcare professionals and to working closely with the Management, Administration and Care Navigation teams.

Primary Responsibilities

Professional Responsibilities

• To work within NMC Guidelines and to agreed practice protocols.
• To maintain high standards of clinical practice by ensuring the application of available evidence based research and agreed protocols.
• To work in collaboration with the Primary Health Care team to address identified individual and population needs.
• To identify and address own learning needs by participation in the processes of personal professional and practice development planning.
• To access clinical supervision and provide mentorship to trainee Nursing team members.
• To maintain accurate and contemporaneous patient records and registers in accordance with practice policy.
• To maintain confidentiality in accordance with NMC and agreed Practice and Information Governance policy.

Clinical Responsibilities to include

• To manage treatment room consultations such as minor injuries, wounds, dressing and treatment of leg ulcers, suture removal, ear examination and syringing.
• Administer routine injections in accordance with the practice policy and appropriate protocols, PGDs and PSDs ie. Childhood and adult immunisations in accordance with national guidelines such as: Flu vaccinations, travel vaccines and completion of patient vaccination records. Anti-psychotic injections, Vit B12 injections and contraceptive injections.
• Contribute to Chronic Disease Management in areas such as: Asthma, COPD, Diabetes, CVD Checks, Learning Disabilities, Long Term Conditions and NHS Health Checks and to other Enhanced Service specifications as required.
• Provide women's health services including cervical cytology and advice on contraception and the menopause according to practice policy.
• To undertake investigative procedures including ECG, blood pressure, urine analysis, foot checks.
• To prepare and assist with minor surgical procedures.
• To prepare and assist with coil and implant procedures.
• Accurately label and document patient samples and submit for collection and analysis.
• Contribute to Nursing Team record keeping: clinical, administrative, H&S related records.
• To assist in and perform routine tasks related to patient care as directed by GPs and the Management Team.
• To be responsible for the assessment of health needs of patients and the provision of care/treatment in conjunction with the GP, other members of the PHCT or independently, undertaking ongoing evaluation of the care/treatment outcomes, modifying practice as necessary and documenting progress.
• With support implement and evaluate individual treatment plans for Chronic Disease patients that promote health and wellbeing.
• Chaperoning duties.
• Partake in audit as requested by the Audit Lead.
• You will be expected to participate in the induction plan for all new staff members whatever their role may be as requested by Management.
• You will be expected to take part in the training programme for any new or role changing staff members as requested by Management.

Secondary Responsibilities

Additional responsibilities

• To liaise and refer to other health care professionals, attend and participate in practice meetings on a regular basis, report any areas of concern, prepare purchase orders in conjunction with the admin team for ordering of drugs and clinical supplies.
• Rotate refrigerated and non-refrigerated stock according to date, maintain appropriate records and discard out of date stock in accordance with practice protocol.
• Respond to cold chain incidents and report effectively and efficiently using national and local guidance, including significant event reporting.
• Contribute to care and maintenance of equipment including cleaning and disinfecting items of equipment and keeping an up-to-date record.
• Support the repair and regular maintenance and calibration of equipment, including equipment maintenance / checking / calibration log.
• To support and participate in the development and implementation of practice policies and protocols.
• To identify appropriate leaflets for health promotion, ensuring adequate stocks are available, keeping leaflet holders in the waiting room stocked in conjunction with the Health Care Assistants.
• To attend and participate in practice meetings/training and external meetings/training on a regular basis.
• To develop effective communication pathways with all members of the practice team.
• To provide a friendly, happy and positive working environment for both staff and patients.
• To work with other members of the team towards the achievement of targets defined in ‘raising standards in primary care’.
• To ensure your treatment room is fully stocked and clean at all times.
• To ensure infection control guidelines are reviewed and maintained.
• To assist in and perform routine admin tasks related to patient care as directed by GPs and the Management Team.
• To undertake regular mandatory training and undertake continuing professional development to ensure competency for delivering all responsibilities.

Generic Responsibilities

All staff at have a duty to conform to the following:

Equality, Diversity & Inclusion (ED&I)

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation. 

Confidentiality

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

Quality & Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.  The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care. 

Induction Training

On arrival at the practice all personnel are to complete a practice induction programme; this is managed by the Operations Manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme.  Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery. 

Collaborative Working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service Delivery

Staff at Newhall Surgery must adhere to the information contained with practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.   

Security

The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

Professional Conduct

At Newhall Surgery, staff are required to dress appropriately for their role. Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.

Leave

All personnel are entitled to take leave. All staff will be encouraged to take all their leave entitlement.

Person Specification – Practice Nurse

Qualifications

Essential

Desirable

Registered General Nurse

ü

A demonstrable commitment to Continuous Professional Development

ü

Qualification in Chronic Disease Management - Asthma, COPD, Diabetes

ü

Experience

Essential

Desirable

Experience of working in accordance with the NMC Code of Professional Conduct (2002) and The Scope of Professional Practice (1992)

ü

Experience of working within Primary Care

ü

Experience of SystmOne (or equivalent) Patient Management System

ü

Skills/Knowledge

Essential

Desirable

Competent in basic nursing duties required for the post of a treatment room nurse including: wound care management, injections/vaccinations, health & lifestyle reviews

ü

Good standard of education with excellent literacy and numeracy skills

ü

Excellent communication skills

ü

Personal Qualities

Essential

Desirable

Polite and confident

ü

Flexible and cooperative

ü

Able to demonstrate enthusiasm to develop nursing skills

ü

Motivated and proactive

ü

Ability to use initiative and judgement

ü

An understanding, acceptance and adherence to the need for strict confidentiality

ü

High levels of integrity and loyalty

ü

Sensitive and empathetic in distressing situations

ü

Ability to work under pressure

ü

Ability to work without direct supervision and determine own workload priorities

ü

Able to work in a changing environment

ü

Other requirements

Essential

Desirable

Full UK driving licence

ü

Disclosure Barring Service (DBS) check

ü